BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NU-TIP SCISSORS

    MDR report key: 17144 · Received October 25, 1994

    Report

    Report Number
    MW1003792
    Event Type
    Malfunction
    Date Received
    October 25, 1994
    Date of Event
    May 31, 1994
    Report Date
    October 3, 1994
    Manufacturer
    MARLOW SURGICAL TECHNOLOGIES, INC.
    Product Code
    LRW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CLEVIS ARM BROKE DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NU-TIP SCISSORS SCISSORS LRW MARLOW SURGICAL TECHNOLOGIES, INC. M2101D-S

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other